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NPI 1154511863

NPI 1154511863 : MR. VICTOR SETO : EL MONTE, CA

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General NPI Number Information
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    NPI Number           |    1154511863
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    Entity Type          |    Individual 
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    Provider Name        |    MR. VICTOR SETO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/30/2007
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    Last Update Date     |    07/30/2007
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Provider Practice Location Address
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    Address Line         |    11041 VALLEY BLVD 
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    City                 |    EL MONTE
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    State                |    CA
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    Zip                  |    91731-2516
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    Country              |    US
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    Telephone            |    626-441-4177
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2652 POTRERO AVE APT 20
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    City                 |    EL MONTE
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    State                |    CA
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    Zip                  |    91733-1841
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    Country              |    US
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    Telephone            |    626-617-2330
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    
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    License Number State |    
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